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DocuSign Envelope ID:6F373526-8608-47C8-AA9D-FDDD57D0834F <br /> NORTH CAROLINA FARM BUREAU MUTUAL INSURANCE COMPANY, INC. <br /> CERTIFICATE OF LIABILITY INSURANCE <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br /> BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject <br /> to the terms and Conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to <br /> the Certificate holder in lieu of such endorsement(s). <br /> INSURED AHB CENTER FOR BEHAVIORAL HEALTH CERTIFICATE Orange County Government <br /> NAME AND &WELLNESS HOLDER PO BOX 8181 <br /> ADDRESS 3326 DURHAM CHAPEL HILL BLVD BLDG D Hillsborough, NC 27278 <br /> DURHAM NC 27707 <br /> COVERAGES <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> X TYPE OF INSURANCE ADDLSUBR POLICYNUMBER rP�CDYEFF POLIO EXP LIMITS <br /> INSD WVD <br /> ® COMMERCIAL GENERAL LIABILITY GENERAL AGGREGATE $2,000,000 <br /> -OCCURRENCE PRODUCTS-COMP/OPS <br /> AGGREGATE $ <br /> GEN'L AGGREGATE APPLIES PER POLICY BSN 0916695 8/1 0/2020 8/1 0/2021 PERSONAL&ADV INJURY $ <br /> EACH OCCURRENCE $1,000,000 <br /> DAMAGE TO RENTED $ <br /> PREMISES Ea Occurrence <br /> MED EXP(Any one person) $ <br /> ® EACH OCCURRENCE $1,000,000 <br /> BUSINESSOWNERS BSN 0916695 8/10/2020 8/10/2021 AGGREGATE <br /> $2,000,000 <br /> COMBINED SINGLE LIMIT $ <br /> —AUTOMOBILE LIABILITY (Each accident) <br /> ❑ SCHEDULED AUTOS BODILY INJURY(Per person) $ <br /> ❑ HIREDAUTOS BODILY INJURY(Per accident) $ <br /> ❑ NON-OWNED AUTOS (per..."')DAMAGE $ <br /> ❑ GARAGE LIABILITY <br /> ❑ (Other) <br /> EACH OCCURRENCE $ <br /> ❑ EXCESS LIABILITY— <br /> OCCURRENCE AGGREGATE $ <br /> WC STATUTORY LIMrrS <br /> ® WORKERS COMPENSATION N/A <br /> AND EMPLOYERS'LIABILrrY WC 0260552 7/2/2020 7/2/2021 E.L.EACH ACCIDENT $1,000,000 <br /> POLICY APPLIES TO THE WORKERS E.L.DISEASE-EA EMPLOYEE $1,000,000 <br /> COMPENSATION LAW IN THE STATE OF NC E.L.DISEASE-POLICY LIMIT $1,000,000 <br /> OTHER: <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES: <br /> CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED AUTHORIZED REPRESENTATIVE <br /> BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE <br /> DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. DATE 8I13I2020 1 fr'G'`' <br /> •t <br /> COI 0910 <br />